Greathearts Behavioral Health LLC
Nurse Practitioner, Psych/Mental Health in Tempe, AZ. Organization (NPI-2).
NPI number1942891908
StatusActive
Last updated in NPPESMar 10, 2023
Details
- NPI
- 1942891908
- Entity type
- Organization (NPI-2)
- Legal business name
- Greathearts Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2021
- Certification date
- Mar 10, 2023
- Last updated
- Mar 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
412 E Southern AveTempe, AZ 85282-5212
Phone 480-747-4623
Mailing address
412 E Southern AveTempe, AZ 85282-5212
Phone 480-747-4623
Authorized official
Phillis Mutembete
Owner
4807474623
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